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General NPI Number Information
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NPI Number | 1326358227
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Entity Type | Organization
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Legal Business Name | LINDA LOPEZ-ROSARIO MD PA
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Dates
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Enumeration Date | 10/14/2010
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Last Update Date | 11/17/2010
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Provider Practice Location Address
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Address Line | 900 PLAZA DR SUITE2
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City | MISSION
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State | TX
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Zip | 78572-6045
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Country | US
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Telephone | 956-580-4540
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Fax | 956-580-4542
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Provider Business Mailing Address
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Address Line | PO BOX 339
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City | MISSION
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State | TX
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Zip | 78573-0006
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Country | US
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Telephone | 956-580-4540
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Fax | 956-580-4542
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LINDA E LOPEZ-ROSARIO
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Credential | M.D.
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Telephone | 956-580-4540
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | J1298
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License Number State | TX
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